US5394863A - Vaginal fornix illuminator - Google Patents

Vaginal fornix illuminator Download PDF

Info

Publication number
US5394863A
US5394863A US08003393 US339393A US5394863A US 5394863 A US5394863 A US 5394863A US 08003393 US08003393 US 08003393 US 339393 A US339393 A US 339393A US 5394863 A US5394863 A US 5394863A
Authority
US
Grant status
Grant
Patent type
Prior art keywords
stem
cup
invention
light
opening
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
US08003393
Inventor
Theodore H. Sanford
Sam Patterson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Patterson Sam
Original Assignee
Sanford; Theodore H.
Patterson; Sam
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Grant date

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/303Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the vagina, i.e. vaginoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/4241Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres

Abstract

A pipe like optical wave guide illuminator transmits light from a fiber optic source through a light transmissive plastic body. The body has an elongated stem and a cup, with a hollow in the cup. The cup is engagable over the cervix and light is transmitted through the rim of the cup through the vaginal fornix in aid of surgical and medical procedures.

Description

BACKGROUND OF THE INVENTION

The present invention is a vaginal fornix trans illuminator. It is a clear, molded light transmitting plastic instrument, preferably of LUCITE®, or an appropriate light transmitting acrylic resin. The instrument illuminates thin tissues and transmits light through the tissues so that easy identification of the fornix particularly from above, as seen through a body cavity is possible for medical procedures, to examine, to use in surgery or in theraputic procedures.

Heretofore, the fornix could not be easily identified scientifically from above, only by guess work or feel. In surgical procedures, this oftentimes resulted in the removal of excess vaginal tissue, such as during an abdominal hysterectomy.

The trans illuminator illuminates the fornix and demonstrates to a surgeon exactly where the tissues are to be cut to remove the cervix from its surrounding attachments during an abdominal hysterectomy. Because of the tension of the vaginal tissues, blood loss is decreased and easy side to side approximation of the vaginal tissues is carried out over the edges of the lighted trans illuminator.

In the past, blood from the cutting of the vaginal tissues surrounding the cervix would flow into the vagina. The usual practice was to aspirate this blood gathered in the vagina, thus contaminating intra abdominal tissues with blood from the contaminated area of the vagina. With the trans illuminator in place, blood escapes into the "cup" of the trans illuminator and is easily aspirated.

Using the present invention during pelviscopy, it is possible to determine exactly where the vagina is. Heretofore, a cotton gauze sponge was placed in the vagina to identify that anatomical area. When using a YAG or CO2 laser, there was always a possibility of ignition of the gauze in the vagina. Using the trans illuminator of the present invention the exact location of the vaginal fornix is identified by the firmness of trans illuminator and the light.

The present invention is useful in the treatment of endometriosis via laparoscopy or the performance of a hysterectomy via pelviscopy, using a laparoscopically video directed procedure from above and in the treatment of infertility and pelvic inflamminatory disease, or any tubal occluding process.

Hydrotubation of the uterus may be carried out at the same time the trans illuminator is applied to the vagina. Hydrotuberation is carried out by placing a foley catheter into the cup portion end of the illuminator, passing it directly into the uterus and filling the foley balloon with water or air. The trans illuminator is directed along the catheter and surrounds the cervix filling the vaginal fornix. Hydrotubation is carried out by passing Indigo Carmin into the uterus via the catheter and the dye (Indigo Carmin) is visualized, spilling from the tubal lumen, demonstrating tubal patency, or no dye appearing which demonstrates tubal occlusion, all under direct vision of the laparoscopically directed video camera. This is part of an infertility workup. If infertility is a problem, the illuminated fornix would identify clearly the vagina, especially if laser procedures were to be performed.

Uterine manipulation upward or to the sides can be carried out with the trans illuminator in place. Because the cervix is placed in the trans illuminator in close approximation to the sides, the uterus can be positioned as desired in the pelvis, in order to facilitate surgical procedures from the above, through the laparoscope. The lighted edges of the instrument gives the operator clear definition of the vaginal fornix.

DESCRIPTION OF THE RELATED ART

U.S. Pat. No. 4,449,519 discloses an endoscope tube, which merely includes a press fit fiber optic light.

U.S. Pat. No. 5,143,054 discloses a cervical videoscope with detachable camera unit. The video camera unit is removably attached to one blade of the speculum, as by a flexible strap. The videoscope is illuminated by a surrounding band of optical fibers attached to a light source. Light emanates directly from the fiber to the subject.

U.S. Pat. No. 5,131,380 discloses a softwall medical tube with a fiber optic light conductor. The device involves the combination of a transparent medical tube and a flexible light conductor which is slidably and removably disposed therein. Light transmitted by the conductor to its distal end passes outwardly through the medical tube's distal end wall, and may be visually and externally observed through the body wall of the patient, to identify the approximate position of a tube within the body.

U.S. Pat. No. 4,337,763 discloses an illuminated surgical instrument. The instrument is a speculum or retractor with a projecting light fixture with an incandescent battery operated light which points into the body cavity.

U.S. Pat. No. 4,597,383 discloses a fiber optic illuminated vaginal speculum. The invention includes a fiber optic light attachment for a vaginal speculum which is adapted to be mounted on the base portion of a conventional speculum and which is adapted for projecting a beam of light within the viewing channel from the end of the fiber optic bundle which is held between the jaws of the speculum.

U.S. Pat. No. 4,562,832 discloses a medical instrument and light pipe illumination assembly fabricated of synthetic plastic material. The invention involves a medical instrument associated with a flexible light guide in a monofilament core pipe format with a cladding tube to deliver light to a desired site. The same pipe can be used as a glow tube when provided with a disbursant in the plastic of an optical fiber. In a preferred embodiment of the light pipe, the core is a monofilament of resinous material having a relatively high refractive index capable of transmitting light by internal reflection.

U.S. Pat. No. 3,945,371 discloses an apparatus for inspection and sampling in restricted aperture cavities employing fiber optics. The apparatus has a body portion carrying a probe, the housing, the image display means and optical means. Two fiber optic bundles are used one for carrying light to the point to be observed and another to catch the image which is brought to a ground glass display panel.

U.S. Pat. No. 4,901,708 discloses a viewing laryngoscope. The laryngoscope enables one performing a laryngoscopy to have a clear view of the area adjacent to the distal tip of a curved type laryngoscope blade member while inserting the blade member into the throat of a patient. To achieve this, fiber optic bundles are incorporated along a blade member, one fiber optic bundle transmitting light from a light source located near the proximal end of the blade member to a point along the distal end of the blade member and another fiber optic bundle being coupled to a lens located at the proximal end of the blade member to provide telescopic viewing of the area adjacent to the distal end of the blade member.

U.S. Pat. No. 3,664,330 discloses a fiber optic medical tool and also provided for is fiber optic lighting. The invention provides manipulative access, illumination and visualization within a body orifice, and it includes a device which has a pair of substantially parallel elongated members having distal ends adapted to extend into the body orifice to provide manipulative access to the body area interior of the orifice.

U.S. Pat. No. 3,744,481 discloses a medical examining method and means. The invention allows viewing the cervix and vaginal segment of a human uterus including light transmitted by fiber optic principles through the blades to illuminate. It is comprised of two, three or four elongated blades which are removably mounted on a holder. The blades are adjustable to spread and to retain the vaginal walls including the cervico-vaginal fornix for visual observation and accessibility of surgical instruments to the uterus.

SUMMARY OF THE INVENTION

The prior art describes many different fiber optic light medical instruments, employing illumination and fiber optic illumination. However, the prior art does not show nor suggest the structural configuration or use of light directed about the cervix, through the fornix, for the trans illumination of the fornix.

The present invention includes a fiber optic light source such as a plastic tube with a bundle of fiber optic fibers to snap over the end of the device, engaging the fiber optics adjacent to the end of the trans illuminator. The trans illuminator is made of LUCITE® and transmits the light from the end of the pipe like device to the round cup that is engaged about the cervix at its fornix.

The device trans illuminates the fornix of the vagina, so that medical procedures can be carried on, particularly from above, with the vaginal fornix outlined in light through the trans illuminator below.

The trans illuminator is shaped to the anatomical configuration and dimensions of the vagina. A fiber optic cord is attached to the end of the instrument, which brightly illuminates its edges, giving it the ability to penetrate vaginal tissues with a cool light. The light source produces the brightest light available to instrumentation and the clear LUCITE® of the instrument transmits light most efficiently. Near the end of the instrument, in one version, is a hole through which a foley catheter can be passed, making the trans illuminator adaptable to intubation.

The instrument can be used to illuminate vaginal fornix as well as manipulate the uterus. Aspiration of blood from the trans illuminator cup eliminates contamination of the pelvic and abdominal tissues.

Hydrotubation can be carried out while the instrument is being used for anatomical identification and manipulation.

According to the present invent ion an optical wave guide trans illuminator for the vaginal fornix has a light transmissive plastic body shaped like a pipe. The pipe has an elongated stem and a cup. The stem has an end and the cup forms a hollow opening in the body extending from the stem and through the cup opening. The cup engages the cervix. A fiber optic light source is attachable to the stem.

The body may be an acrylic resin. The hollow may taper outward from within said stem includes the cup. The hollow may terminate within the stem and the opening may define a rim from which light may be transmitted from the fiber optic light source through the rim and through the fornix.

The end of the stem may be flat. The may stem include an inset where the fiber optic light source may be attached.

The may be a further opening through the body into the hollow which may be pluggable.

A vaginal manipulator or a catheter may be engaged and used through the further opening.

Although such novel feature or features believed to be characteristic of the invention are pointed out in the claims, the invention and the manner in which it may be carried, may be further understood by reference to the description following and the accompanying drawing.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a plan view of the trans illuminator of the present invention.

FIG. 2 is a cut away side elevation of FIG. 1.

FIG. 3 is a section of FIG. 1 at lines 3--3.

FIG. 4 is a cut away side elevation of the trans illuminator of the present invention, with a plugged opening.

FIG. 5 is a side elevation sectional view through a woman's body, of the trans illuminator of FIG. 1 in place with an attached fiber optic light source.

FIG. 6 is a detail cut away side elevation of the trans illuminator of FIG. 4 in the vagina with a foley catheter engaged therethrough in the uterus.

FIG. 7 is a detail cut away side elevation of the trans illuminator of FIG. 4 in the vagina, with an uterine manipulator.

Referring now to the figures in greater detail, where like reference number denote like parts in the various figures.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

As shown in FIGS. 1-3 the trans illuminator 10 has a pipe like body 11 witch a stem 12 and at one end an end 13. There is an inset 14 on stem 12. At the other end of the body 11 is a cup 15 which opens into a hollow 16 which extends part way into the stem 12 which is tapered. The cup 15 has a peripheral rim 17.

As shown in FIG. 4, the trans illuminator 20 includes an opening 21, which can be plugged with a plug 22.

IN USE

As shown in FIG. 5, the stem 12 of the body 11 is connected to a tube 26 which contains a fiber optic bundle 27 leading to a remote light source (not shown). The tube 26 engages the stem 12 at the inset 14, holding it to fiber optic bundle 27 at the end 13, so that light can be transmitted through the body 11.

As shown in FIG. 5, the body 11 is in the vagina 32 with the cervix 30 of the uterus 31 engaged in the cup 15. The rim 17 of the cup 15 is at the fornix 33 of the vagina 32. Light from the fiber optic bundle 27 passes through the body 11 from the end 13 of the stem 12 and exits from the rim 17 of the cup 15 trans illuminating the fornix 33. The fornix 33 is thus visible and defined inside the body cavity for the purpose of executing surgical or medical procedures.

The trans illuminator 10 illuminates the fornix 33 and demonstrates to a surgeon exactly where the tissues are to be cut to remove the cervix 30 from its surrounding attachments during an abdominal hysterectomy. Blood loss is decreased and easy side to side approximation of the tissues of the vagina 32 is carried out over the rim 17 of the lighted trans illuminator 20.

As shown in FIG. 6, the body 11 of the trans illuminator 20 is in the vagina 32 with the cervix 30 of the uterus 31 engaged in the cup 15. The rim 17 of the cup 15 is at the fornix 33 of the vagina 32. The light, as shown in FIG. 5 from the fiber optic bundle 27, passes through the body 11 from the end 13 of the stem 12 and exits from the rim 17 of the cup 15 trans illuminating the fornix 33. The fornix 33, each ovary 34 and each fallopian tube 35 is thus visible from inside the body cavity from above for the purpose of executing surgical or medical procedures.

Hydrotubation of the uterus 31 may be carried out by removing the plug 22, placing a foley catheter 40 through the opening 21 in the body 11 and through the cup 15 of the trans illuminator 20, passing it directly into the uterus 31 and filling the foley balloon 41 with water or air and then closing the valve 42. Hydrotubation is carried out by using a syringe 43 and passing Indigo Carmin into the uterus 31 via the foley catheter 40. A dye can be seen from above, spilling from the fallopian tubes 35, demonstrating tubal patency, or no dye appearing which demonstrates tubal occlusion, seen through a laparoscopically directed video camera (not shown). This is part of an infertility workup. If infertility is a problem, the illuminated fornix 33 would identify clearly the vagina 32, especially if laser procedures were to be performed.

Uterine manipulation upward or to the sides can be carried out with the trans illuminators 10. 20, in place for procedures, and as shown in FIG. 7, manipulation of the uterus 31 may be carried out by removing the plug 22, placing a uterine manipulator 45 through the opening 21 in the body 11 and through the cup 15 of the trans-illuminator 20, passing it directly into the uterus 31. Manipulation may be carried out directly or in conjunction with manipulation of the trans-illuminator 20.

Blood from the cutting of the vaginal tissues surrounding the cervix 30 may now flow into the hollow 16 of the cup 15 of the trans illuminator 10 or into the trans illuminator 20 with the plug 22 engaged then easily aspirated from above.

The terms and expressions which are employed are used as terms of description; it is recognized, though, that various modifications are possible.

It is also understood the following claims are intended to cover all of the generic and specific features of the invention herein described, and all statements of the scope of the invention which, as a matter of language, might fall therebetween.

Claims (7)

Having described certain forms of the invention in some detail, what is claimed is:
1. An illuminating instrument for the vaginal fornix comprising a substantially pipe-shaped light transmissive plastic body having a cup, a hollow, and an elongated stem with a longitudinal axis, said stem having a free end with means to attach a light source thereto, said cup having an opening and extending outwardly from said stem in a direction generally perpendicular to the longitudinal axis of said stem, said opening having a rim sized to engage a cervix, said hollow extending from said opening into said stem toward said free end and terminating before said free end of said stem.
2. The invention of claim 1, wherein the stem tapers outwardly from said free end into said cup.
3. The invention of claim 1, further including a light source attached to said stem which transmits light through said stem and out through the rim of said cup.
4. The invention of claim 3, wherein said light source is in the form of a fiber optic bundle.
5. The invention of claim 1, wherein said cup includes an aperture separate from said opening in said cup.
6. The invention of claim 5, wherein said aperture is closed by a plug.
7. The invention of claim 5, in combination with a means to manipulate a uterus insertable through said aperture.
US08003393 1993-01-12 1993-01-12 Vaginal fornix illuminator Expired - Fee Related US5394863A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US08003393 US5394863A (en) 1993-01-12 1993-01-12 Vaginal fornix illuminator
PCT/US1995/000016 WO1996021392A1 (en) 1993-01-12 1995-01-11 Vaginal fornix illuminator

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08003393 US5394863A (en) 1993-01-12 1993-01-12 Vaginal fornix illuminator
PCT/US1995/000016 WO1996021392A1 (en) 1993-01-12 1995-01-11 Vaginal fornix illuminator

Publications (1)

Publication Number Publication Date
US5394863A true US5394863A (en) 1995-03-07

Family

ID=26671697

Family Applications (1)

Application Number Title Priority Date Filing Date
US08003393 Expired - Fee Related US5394863A (en) 1993-01-12 1993-01-12 Vaginal fornix illuminator

Country Status (2)

Country Link
US (1) US5394863A (en)
WO (1) WO1996021392A1 (en)

Cited By (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0865760A1 (en) * 1997-03-21 1998-09-23 Stryker Corporation Circumferential transillumination of anatomic junctions using light energy
US5902247A (en) * 1997-09-09 1999-05-11 Bioenterics Corporation Transilluminating catheter
US5938324A (en) * 1996-10-07 1999-08-17 Cisco Technology, Inc. Light pipe
US5947958A (en) * 1995-09-14 1999-09-07 Conceptus, Inc. Radiation-transmitting sheath and methods for its use
US5993461A (en) * 1998-01-07 1999-11-30 Abae; Mick Laparoscopic instrument for manipulating the uterus during laparoscopic surgery
US6039701A (en) * 1996-09-05 2000-03-21 Ob Inovations, Inc. Method and apparatus for monitoring cervical diameter
US6176824B1 (en) 1996-10-29 2001-01-23 James M. Davis Fiberoptically illuminated appliances
US6185356B1 (en) 1995-06-27 2001-02-06 Lumitex, Inc. Protective cover for a lighting device
US6332092B1 (en) 1998-07-08 2001-12-18 Lifespex, Incorporated Optical probe having and methods for uniform light irradiation and/or light collection over a volume
US20020001202A1 (en) * 1997-07-02 2002-01-03 Williams Jeffrey B. Light delivery systems and applications thereof
US6487440B2 (en) 1998-07-08 2002-11-26 Lifespex, Inc. Optical probe having and methods for difuse and uniform light irradiation
US6516216B1 (en) * 1996-02-23 2003-02-04 Stryker Corporation Circumferential transillumination of anatomic junctions using light energy
US20030095781A1 (en) * 1997-07-02 2003-05-22 Williams Jeffrey B. Illuminated surgical retractor
US6591049B2 (en) 1997-07-02 2003-07-08 Lumitex, Inc. Light delivery systems and applications thereof
US20050085827A1 (en) * 2003-10-15 2005-04-21 G. Anselmo N. Uterine manipulating device
US20050171408A1 (en) * 1997-07-02 2005-08-04 Parker Jeffery R. Light delivery systems and applications thereof
WO2006117612A1 (en) * 2005-05-05 2006-11-09 Marcus Vincent Van Heerden A cervical drain device
US20070135819A1 (en) * 2005-12-08 2007-06-14 Spiritos Nicholas M Transvaginal tube
US20070208226A1 (en) * 2006-01-18 2007-09-06 Spotlight Surgical, Inc. Retractor illumination system
US20070230167A1 (en) * 2006-04-03 2007-10-04 Welch Allyn, Inc. Power connections and interface for compact illuminator assembly
US20070230164A1 (en) * 2006-04-03 2007-10-04 Welch Allyn, Inc. Vaginal speculum assembly having portable illuminator
US20070293729A1 (en) * 2006-05-26 2007-12-20 Spotlight Surgical, Inc. Blade insert illuminator
US20080216826A1 (en) * 2007-08-07 2008-09-11 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Airway imaging system
US20080216840A1 (en) * 2007-03-06 2008-09-11 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Imaging via the airway
US20080228038A1 (en) * 2005-04-01 2008-09-18 Welch Allyn, Inc. Illumination Assembly For Use With Vaginal Speculum Apparatus
US20090024018A1 (en) * 2007-08-07 2009-01-22 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Anatomical imaging system
US20090062690A1 (en) * 2007-08-29 2009-03-05 Quaternion Investments Llc Specimen Collecting
US20090112068A1 (en) * 2007-10-24 2009-04-30 Spotlight Surgical, Inc. Blade Insert Illuminator
US20090287192A1 (en) * 2005-04-01 2009-11-19 Vivenzio Robert L Medical diagnostic instrument having portable illuminator
US20100025214A1 (en) * 2008-07-31 2010-02-04 Electrolux Home Products Unitized Appliance Control Panel Assembly and Components of the Assembly
US20100180422A1 (en) * 2003-11-17 2010-07-22 Konstantin Lazarov Valtchev Vaginal delineating device
NL2002922C (en) * 2009-05-25 2010-11-30 Tavigny B V I O Uterine manipulator and cutting unit.
US20110009704A1 (en) * 2009-07-08 2011-01-13 Stanislaw Marczyk Apparatus and Method for Transvaginal Surgery
US20110130769A1 (en) * 2009-12-02 2011-06-02 Richard Wolf Gmbh Uterus manipulator
US8323278B2 (en) 2010-12-06 2012-12-04 Soulor Surgical, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
WO2012177915A2 (en) 2011-06-21 2012-12-27 Lsi Solutions, Inc. Ergonomic, lighted, uterine manipulator with cautery
WO2013074891A1 (en) * 2011-11-17 2013-05-23 Lexion Medical, Llc Device and method for illumination of vaginal fornix with ureter location, isolation and protection during hysterectomy procedure
US8663239B2 (en) 2011-09-29 2014-03-04 Blake Hess Tissue removal and manipulator device for LAVH and related surgeries
US8696561B2 (en) 2010-04-01 2014-04-15 Tamatha Britt Fenster LEEP safety guard
US8753267B2 (en) 2011-01-24 2014-06-17 Covidien Lp Access assembly insertion device
USD712033S1 (en) 2007-10-05 2014-08-26 Covidien Lp Seal anchor for use in surgical procedures
USD738500S1 (en) 2008-10-02 2015-09-08 Covidien Lp Seal anchor for use in surgical procedures
CN105473083A (en) * 2013-06-20 2016-04-06 碧奥塞普蒂夫股份有限公司 Devices and methods for manipulating bodily tissue
US9532706B2 (en) 2014-08-07 2017-01-03 Welch Allyn, Inc. Vaginal speculum with illuminator
US9707011B2 (en) 2014-11-12 2017-07-18 Covidien Lp Attachments for use with a surgical access device
US20170231482A1 (en) * 2014-10-16 2017-08-17 Pelican Feminine Healthcare Ltd. Sheathed Speculum
US10064649B2 (en) 2014-07-07 2018-09-04 Covidien Lp Pleated seal for surgical hand or instrument access
US10092323B2 (en) 2013-11-01 2018-10-09 Lsi Solutions, Inc. Ergonomic, lighted uterine manipulator with cautery

Citations (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US421585A (en) * 1890-02-18 Wilhelm kochs and max wolz
US2055188A (en) * 1934-04-09 1936-09-22 American Cystoscope Makers Inc Fluoroscope
US2746450A (en) * 1954-10-27 1956-05-22 William T Lady Body cavity examining instrument
US3131690A (en) * 1962-10-22 1964-05-05 American Optical Corp Fiber optics devices
US3202152A (en) * 1963-03-08 1965-08-24 John F Wood Vacuum extractor for childbirth
US3664330A (en) * 1969-09-12 1972-05-23 Harold L Deutsch Fiber optic medical tool
US3685509A (en) * 1969-07-09 1972-08-22 Nat Res Dev Foetal blood sampling endoscope
US3744481A (en) * 1971-05-18 1973-07-10 B Mcdonald Medical examining method and means
US3771516A (en) * 1972-04-14 1973-11-13 W Corriero Surgical localization and control of gastro-intestinal bleeding
US3774614A (en) * 1971-06-29 1973-11-27 G Cook Surgical hemostatic light
US3945371A (en) * 1972-05-26 1976-03-23 Stuart Lee Adelman Apparatus for inspection and sampling in restricted aperture cavities employing fibre optics
US3948270A (en) * 1974-10-15 1976-04-06 Hasson Harrith M Uterine cannula
US4337763A (en) * 1980-04-21 1982-07-06 The United States Of America As Represented By The Department Of Health, Education And Welfare Illuminated surgical instrument
US4430076A (en) * 1982-02-04 1984-02-07 Harris James H Combined uterine injector and manipulative device
US4449519A (en) * 1980-09-24 1984-05-22 Transidyne General Corporation Endoscope
US4562832A (en) * 1984-01-21 1986-01-07 Wilder Joseph R Medical instrument and light pipe illumination assembly
US4597383A (en) * 1985-04-25 1986-07-01 Luxtec Corporation Fiber-optic illuminated vaginal speculum
US4683879A (en) * 1986-10-20 1987-08-04 Tudor Williams R Dual function connector for use with endotracheal apparatus
US4836186A (en) * 1987-01-16 1989-06-06 Scholz Francis J Body compression device for patients under fluoroscopic examination
US4901708A (en) * 1988-07-22 1990-02-20 Lee Tzium Shou Viewing laryngoscope
US5019086A (en) * 1989-09-12 1991-05-28 Neward Theodore C Manipulable vacuum extractor for childbirth and method of using the same
US5131380A (en) * 1991-06-13 1992-07-21 Heller Richard M Softwall medical tube with fiberoptic light conductor therein and method of use
US5143054A (en) * 1988-12-28 1992-09-01 Adair Edwin Lloyd Cervical videoscope with detachable camera unit
US5209754A (en) * 1992-04-02 1993-05-11 Ahluwalia Prabhat K Vaginal cervical retractor elevator

Patent Citations (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US421585A (en) * 1890-02-18 Wilhelm kochs and max wolz
US2055188A (en) * 1934-04-09 1936-09-22 American Cystoscope Makers Inc Fluoroscope
US2746450A (en) * 1954-10-27 1956-05-22 William T Lady Body cavity examining instrument
US3131690A (en) * 1962-10-22 1964-05-05 American Optical Corp Fiber optics devices
US3202152A (en) * 1963-03-08 1965-08-24 John F Wood Vacuum extractor for childbirth
US3685509A (en) * 1969-07-09 1972-08-22 Nat Res Dev Foetal blood sampling endoscope
US3664330A (en) * 1969-09-12 1972-05-23 Harold L Deutsch Fiber optic medical tool
US3744481A (en) * 1971-05-18 1973-07-10 B Mcdonald Medical examining method and means
US3774614A (en) * 1971-06-29 1973-11-27 G Cook Surgical hemostatic light
US3771516A (en) * 1972-04-14 1973-11-13 W Corriero Surgical localization and control of gastro-intestinal bleeding
US3945371A (en) * 1972-05-26 1976-03-23 Stuart Lee Adelman Apparatus for inspection and sampling in restricted aperture cavities employing fibre optics
US3948270A (en) * 1974-10-15 1976-04-06 Hasson Harrith M Uterine cannula
US4337763A (en) * 1980-04-21 1982-07-06 The United States Of America As Represented By The Department Of Health, Education And Welfare Illuminated surgical instrument
US4449519A (en) * 1980-09-24 1984-05-22 Transidyne General Corporation Endoscope
US4430076A (en) * 1982-02-04 1984-02-07 Harris James H Combined uterine injector and manipulative device
US4562832A (en) * 1984-01-21 1986-01-07 Wilder Joseph R Medical instrument and light pipe illumination assembly
US4597383A (en) * 1985-04-25 1986-07-01 Luxtec Corporation Fiber-optic illuminated vaginal speculum
US4683879A (en) * 1986-10-20 1987-08-04 Tudor Williams R Dual function connector for use with endotracheal apparatus
US4836186A (en) * 1987-01-16 1989-06-06 Scholz Francis J Body compression device for patients under fluoroscopic examination
US4901708A (en) * 1988-07-22 1990-02-20 Lee Tzium Shou Viewing laryngoscope
US5143054A (en) * 1988-12-28 1992-09-01 Adair Edwin Lloyd Cervical videoscope with detachable camera unit
US5019086A (en) * 1989-09-12 1991-05-28 Neward Theodore C Manipulable vacuum extractor for childbirth and method of using the same
US5131380A (en) * 1991-06-13 1992-07-21 Heller Richard M Softwall medical tube with fiberoptic light conductor therein and method of use
US5209754A (en) * 1992-04-02 1993-05-11 Ahluwalia Prabhat K Vaginal cervical retractor elevator

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
"Acrylic Resins," D. S. Frederick, Modern Plastics, pp. 32 and 108.
Acrylic Resins, D. S. Frederick, Modern Plastics, pp. 32 and 108. *

Cited By (87)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6185356B1 (en) 1995-06-27 2001-02-06 Lumitex, Inc. Protective cover for a lighting device
US6504985B2 (en) 1995-06-27 2003-01-07 Lumitex, Inc. Illuminated surgical retractor
US5947958A (en) * 1995-09-14 1999-09-07 Conceptus, Inc. Radiation-transmitting sheath and methods for its use
US6516216B1 (en) * 1996-02-23 2003-02-04 Stryker Corporation Circumferential transillumination of anatomic junctions using light energy
US6039701A (en) * 1996-09-05 2000-03-21 Ob Inovations, Inc. Method and apparatus for monitoring cervical diameter
US5938324A (en) * 1996-10-07 1999-08-17 Cisco Technology, Inc. Light pipe
US6176824B1 (en) 1996-10-29 2001-01-23 James M. Davis Fiberoptically illuminated appliances
EP0865760A1 (en) * 1997-03-21 1998-09-23 Stryker Corporation Circumferential transillumination of anatomic junctions using light energy
US20050171408A1 (en) * 1997-07-02 2005-08-04 Parker Jeffery R. Light delivery systems and applications thereof
US20020001202A1 (en) * 1997-07-02 2002-01-03 Williams Jeffrey B. Light delivery systems and applications thereof
US20060217596A1 (en) * 1997-07-02 2006-09-28 Lumitex, Inc. Illuminated surgical retractor
US20030095781A1 (en) * 1997-07-02 2003-05-22 Williams Jeffrey B. Illuminated surgical retractor
US6591049B2 (en) 1997-07-02 2003-07-08 Lumitex, Inc. Light delivery systems and applications thereof
US6739744B2 (en) 1997-07-02 2004-05-25 Lumitex, Inc. Light delivery systems and applications thereof
US7306559B2 (en) 1997-07-02 2007-12-11 Lumitex, Inc. Illuminated surgical retractor
US5902247A (en) * 1997-09-09 1999-05-11 Bioenterics Corporation Transilluminating catheter
US5993461A (en) * 1998-01-07 1999-11-30 Abae; Mick Laparoscopic instrument for manipulating the uterus during laparoscopic surgery
US6332092B1 (en) 1998-07-08 2001-12-18 Lifespex, Incorporated Optical probe having and methods for uniform light irradiation and/or light collection over a volume
US6487440B2 (en) 1998-07-08 2002-11-26 Lifespex, Inc. Optical probe having and methods for difuse and uniform light irradiation
US20050085827A1 (en) * 2003-10-15 2005-04-21 G. Anselmo N. Uterine manipulating device
US20100180422A1 (en) * 2003-11-17 2010-07-22 Konstantin Lazarov Valtchev Vaginal delineating device
US8495809B2 (en) * 2003-11-17 2013-07-30 Konstantin Lazarov Valtchev Vaginal delineating device
US9332898B2 (en) 2005-04-01 2016-05-10 Welch Allyn, Inc. Vaginal speculum apparatus
US8821395B2 (en) 2005-04-01 2014-09-02 Welch Allyn, Inc. Vaginal speculum apparatus
US8435175B2 (en) 2005-04-01 2013-05-07 Welch Allyn, Inc. Vaginal speculum apparatus
US9949633B2 (en) 2005-04-01 2018-04-24 Welch Allyn, Inc. Vaginal speculum apparatus
US8388523B2 (en) 2005-04-01 2013-03-05 Welch Allyn, Inc. Medical diagnostic instrument having portable illuminator
US20090287192A1 (en) * 2005-04-01 2009-11-19 Vivenzio Robert L Medical diagnostic instrument having portable illuminator
US20080228038A1 (en) * 2005-04-01 2008-09-18 Welch Allyn, Inc. Illumination Assembly For Use With Vaginal Speculum Apparatus
US20080269565A1 (en) * 2005-04-01 2008-10-30 Welch Allyn, Inc. Vaginal Speculum Apparatus
US9883792B2 (en) 2005-04-01 2018-02-06 Welch Allyn, Inc. Vaginal speculum apparatus
US8157728B2 (en) 2005-04-01 2012-04-17 Welch Allyn, Inc. Vaginal speculum
WO2006117612A1 (en) * 2005-05-05 2006-11-09 Marcus Vincent Van Heerden A cervical drain device
US20070135819A1 (en) * 2005-12-08 2007-06-14 Spiritos Nicholas M Transvaginal tube
US9271709B2 (en) 2006-01-18 2016-03-01 Invuity, Inc. Retractor illumination system
US9271710B2 (en) 2006-01-18 2016-03-01 Invuity, Inc. Retractor illumination system
US9055935B2 (en) 2006-01-18 2015-06-16 Invuity, Inc. Retractor illumination system
US9844364B2 (en) 2006-01-18 2017-12-19 Invuity, Inc. Retractor illumination system
US8409088B2 (en) 2006-01-18 2013-04-02 Invuity, Inc. Retractor illumination system
US20070208226A1 (en) * 2006-01-18 2007-09-06 Spotlight Surgical, Inc. Retractor illumination system
US20070230164A1 (en) * 2006-04-03 2007-10-04 Welch Allyn, Inc. Vaginal speculum assembly having portable illuminator
US20070230167A1 (en) * 2006-04-03 2007-10-04 Welch Allyn, Inc. Power connections and interface for compact illuminator assembly
US7758203B2 (en) 2006-04-03 2010-07-20 Welch Allyn, Inc. Power connections and interface for compact illuminator assembly
US8142352B2 (en) 2006-04-03 2012-03-27 Welch Allyn, Inc. Vaginal speculum assembly having portable illuminator
US9877639B2 (en) 2006-05-26 2018-01-30 Invuity, Inc. Blade insert illuminator
US8920316B2 (en) 2006-05-26 2014-12-30 Invuity, Inc. Blade insert illuminator
US20070293729A1 (en) * 2006-05-26 2007-12-20 Spotlight Surgical, Inc. Blade insert illuminator
US8047987B2 (en) 2006-05-26 2011-11-01 Invuity, Inc. Blade insert illuminator
US9241617B2 (en) 2006-05-26 2016-01-26 Invuity, Inc. Blade insert illuminator
US20080216840A1 (en) * 2007-03-06 2008-09-11 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Imaging via the airway
US20080216826A1 (en) * 2007-08-07 2008-09-11 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Airway imaging system
US20090024018A1 (en) * 2007-08-07 2009-01-22 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Anatomical imaging system
US20090062690A1 (en) * 2007-08-29 2009-03-05 Quaternion Investments Llc Specimen Collecting
USD712034S1 (en) 2007-10-05 2014-08-26 Covidien Lp Seal anchor for use in surgical procedures
USD712033S1 (en) 2007-10-05 2014-08-26 Covidien Lp Seal anchor for use in surgical procedures
USD736921S1 (en) 2007-10-05 2015-08-18 Covidien Lp Seal anchor for use in surgical procedures
US20090112068A1 (en) * 2007-10-24 2009-04-30 Spotlight Surgical, Inc. Blade Insert Illuminator
US8088066B2 (en) 2007-10-24 2012-01-03 Invuity, Inc. Blade insert illuminator
US9986901B2 (en) 2007-10-24 2018-06-05 Invuity, Inc. Blade insert illuminator
US9468366B2 (en) 2007-10-24 2016-10-18 Invuity, Inc. Blade insert illuminator
US9060707B2 (en) 2007-10-24 2015-06-23 Invuity, Inc. Blade insert illuminator
US20100025214A1 (en) * 2008-07-31 2010-02-04 Electrolux Home Products Unitized Appliance Control Panel Assembly and Components of the Assembly
US8178802B2 (en) 2008-07-31 2012-05-15 Electrolux Home Products, Inc. Unitized appliance control panel assembly and components of the assembly
USD738500S1 (en) 2008-10-02 2015-09-08 Covidien Lp Seal anchor for use in surgical procedures
WO2010137973A1 (en) * 2009-05-25 2010-12-02 Tavigny B.V. I.O. Uterine manipulator and cutting unit
NL2002922C (en) * 2009-05-25 2010-11-30 Tavigny B V I O Uterine manipulator and cutting unit.
US20110009704A1 (en) * 2009-07-08 2011-01-13 Stanislaw Marczyk Apparatus and Method for Transvaginal Surgery
US9173677B2 (en) 2009-07-08 2015-11-03 Covidien Lp Apparatus and method for transvaginal surgery
US8568423B2 (en) * 2009-12-02 2013-10-29 Richard Wolf Gmbh Uterus manipulator
US20110130769A1 (en) * 2009-12-02 2011-06-02 Richard Wolf Gmbh Uterus manipulator
US8696561B2 (en) 2010-04-01 2014-04-15 Tamatha Britt Fenster LEEP safety guard
US8608738B2 (en) 2010-12-06 2013-12-17 Soulor Surgical, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
US8323278B2 (en) 2010-12-06 2012-12-04 Soulor Surgical, Inc. Apparatus for treating a portion of a reproductive system and related methods of use
US8753267B2 (en) 2011-01-24 2014-06-17 Covidien Lp Access assembly insertion device
US9017251B2 (en) 2011-01-24 2015-04-28 Covidien Lp Access assembly insertion device
US8603105B2 (en) 2011-06-21 2013-12-10 Lsi Solutions, Inc. Ergonomic, lighted uterine manipulator with cautery
WO2012177915A2 (en) 2011-06-21 2012-12-27 Lsi Solutions, Inc. Ergonomic, lighted, uterine manipulator with cautery
US9775644B2 (en) 2011-09-29 2017-10-03 Blake Hess Tissue removal and manipulator device for LAVH and related surgeries
US8663239B2 (en) 2011-09-29 2014-03-04 Blake Hess Tissue removal and manipulator device for LAVH and related surgeries
WO2013074891A1 (en) * 2011-11-17 2013-05-23 Lexion Medical, Llc Device and method for illumination of vaginal fornix with ureter location, isolation and protection during hysterectomy procedure
US8696563B2 (en) 2011-11-17 2014-04-15 Lexion Medical, Llc Device and method for illumination of vaginal fornix with ureter location, isolation and protection during hysterectomy procedure
CN105473083A (en) * 2013-06-20 2016-04-06 碧奥塞普蒂夫股份有限公司 Devices and methods for manipulating bodily tissue
US10092323B2 (en) 2013-11-01 2018-10-09 Lsi Solutions, Inc. Ergonomic, lighted uterine manipulator with cautery
US10064649B2 (en) 2014-07-07 2018-09-04 Covidien Lp Pleated seal for surgical hand or instrument access
US9532706B2 (en) 2014-08-07 2017-01-03 Welch Allyn, Inc. Vaginal speculum with illuminator
US20170231482A1 (en) * 2014-10-16 2017-08-17 Pelican Feminine Healthcare Ltd. Sheathed Speculum
US9707011B2 (en) 2014-11-12 2017-07-18 Covidien Lp Attachments for use with a surgical access device

Also Published As

Publication number Publication date Type
WO1996021392A1 (en) 1996-07-18 application

Similar Documents

Publication Publication Date Title
US3598113A (en) Disposable laryngoscope construction
US3698387A (en) Otoscope construction
US3261356A (en) Suction and illumination device
US4353358A (en) Sigmoidoscope
US5295477A (en) Endoscopic operating microscope
US5425730A (en) Illumination cannula system for vitreous surgery
US4589404A (en) Laser endoscope
US3664330A (en) Fiber optic medical tool
US5209219A (en) Endoscope adaptor
US6702741B2 (en) Medical body access device
US6419627B1 (en) Ophthalmic endoscope and endoscope attachments for use therewith
US5406938A (en) Glare elimination device
US5720761A (en) Visually directed trocar and method
US20110110114A1 (en) Structured illumination probe and method
US7946981B1 (en) Two-piece video laryngoscope
US2484059A (en) Electrosurgical resecting instrument
US6585727B1 (en) Surgical instrument light source and surgical illumination method
US5588952A (en) Intracardiac illuminator with suction
US20050101838A1 (en) Endoscope cover
US5029573A (en) System for endoscopic surgery
US5380291A (en) Visually directed trocar for laparoscopic surgical procedures and method of using same
US5419309A (en) Tip cleaning accessory for rigid endoscopic instrument
US20120330324A1 (en) Ergonomic, lighted uterine manipulator with cautery
US5054906A (en) Indirectly illuminating ophthalmological speculum
US4736733A (en) Endoscope with removable eyepiece

Legal Events

Date Code Title Description
FPAY Fee payment

Year of fee payment: 4

REMI Maintenance fee reminder mailed
LAPS Lapse for failure to pay maintenance fees
FP Expired due to failure to pay maintenance fee

Effective date: 20030307